When and Why Desarda Repair

NCT05088824 | Unknown

• 1 other identifier: Desarda
• Study Type: observational
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

One of the most significant subjects studied in abdominal wall surgery is inguinal hernia. Its management is very codified. The main factors evaluating efficient hernia surgery are not only the rate of complications (recurrence and groin pain essentially) but also cost and time to return to normal activities. Desarda technique is a non-mesh technique described first in 2001. This surgical technique uses a flap of external oblique aponeurosis in place of a mesh. Its singularity remains its low cost, no use of mesh, and less extensive dissection Mesh repair has its own limitations; it is unphysiological as mesh is used. Chronic inguinal pain, seroma formation, foreign body sensation, risk of mesh infection are common complications and not recommended in strangulated hernias and extra cost involved by the mesh itself. It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia. Recurrence and complication rates equal to or less than Lichtenstein's repair. It's a simple procedure, early ambulation and less time of hospital stay, low cost for the patient as mesh is not used and most importantly no question of mesh related complications such as mesh rejection, infection, migration and foreign body sensation and chronic groin pain which is comparatively low in this procedure.

Conditions

Inguinal Hernia

Outcome Measures

Primary Outcomes (3)

• postoperative hospital stay

  the duration of postoperative hospital stay

  6 month

• chronic pain

  the patient will be assed for the presence of feeling of pain after the procedure or not

  6 months

• recurrence

  the patient will be followed up for recurrence of hernia in the same place by clinical examination

  6 months

Study Arms (1)

patients diagnosed with oblique inguinal hernia

Procedure: hernia repair by desarda technique

Interventions

hernia repair by desarda technique PROCEDURE

It involves use of undetached strip of external oblique aponeurosis to strengthen the posterior wall of the inguinal canal which is based on the physiological principles. This is a physiological repair and is tension free, can be used in strangulated hernia

patients diagnosed with oblique inguinal hernia

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

A prospective clinical trial will be conducted on 30 patients diagnosed with oblique inguinal hernia . The study population will go for hernia repair by Desarda technique . The treatment will be herniorrhaphy. All the patients will be followed up after the 1st week, 1st month, 3 month and after 6 month . The efficacy and adverse effects will be compared by statistical analysis.

You may qualify if:

• primary inguinal hernia
• Aged 18 and above
• reducible inguinal or inguino-scrotal hernia

You may not qualify if:

• Obstructive uropathy or chronic obstructive pulmonary disease
• incarcerated hernia
• recurrent hernia
• bilateral hernia
• active infection at groin area
• pantalloon hernia

Sponsors & Collaborators

• Assiut University: lead

MeSH Terms

Conditions

Hernia, Inguinal

Condition Hierarchy (Ancestors)

Hernia, Abdominal; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Central Study Contacts

boshra N. boshra, resident

CONTACT

01283626403; boshranashaat4@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident doctor

Study Record Dates

• First Submitted: September 24, 2021
• First Posted: October 22, 2021
• Study Start: January 1, 2022
• Primary Completion: December 31, 2022
• Study Completion: April 30, 2023
• Last Updated: October 22, 2021

Record last verified: 2021-10